Colletti Giacomo, Allevi Fabiana, Moneghini Laura, Palvarini Marina
San Paolo Hospital, Milan, Italy.
BMJ Case Rep. 2014 Jan 31;2014:bcr2013200471. doi: 10.1136/bcr-2013-200471.
'Clown nose' (CN) is the common medical term referring to a reddish-brown bulge involving the tip of the nose, reminding of a clown's fake red nose. Reports about these tumours are scarce. Most reports refer to metastatic skin manifestation of systemic malignancies: this condition has been rarely described as a primary skin neoplasm. We report a case of a 31-year-old patient with a giant cutaneous squamous cell carcinoma of the nose which evolved into a CN. After ruling out genetic or immune risk factors, the patient was treated with surgical excision of the lesion and local reconstruction with good aesthetic outcome and no recurrence over a 2-year follow-up.
“小丑鼻”（CN）是一个常见的医学术语，指鼻尖出现的红棕色隆起，让人联想到小丑的假红鼻子。关于这些肿瘤的报道很少。大多数报道涉及系统性恶性肿瘤的转移性皮肤表现：这种情况很少被描述为原发性皮肤肿瘤。我们报告一例31岁患者，患有鼻部巨大皮肤鳞状细胞癌，其演变成了“小丑鼻”。在排除遗传或免疫风险因素后，对该患者进行了病变手术切除及局部重建，美容效果良好，随访2年无复发。
